Individual
ALYCE WALLER HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5500 POPLAR AVE STE 11, MEMPHIS, TN 38119-3718
(901) 834-1480
Mailing address
279 N MCLEAN BLVD, MEMPHIS, TN 38112-5318
(901) 834-1480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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